Nu South Providers

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NU SOUTH PROVIDERS

Doing business as

Nu South Providers LLC

Practice address

117 North Highway 52
Unit 56
Moncks Corner, SC 29461-0056

Phone

(843) 900-7098

NPI assigned

Dec 20, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kimberly Davis

Title

Credentialing Specialists

Phone

(912) 373-4385

Specialties & licenses 1

Addresses

Other names 1

• Nu South Providers LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Johnson, RN,NP

  • Acute Care Nurse Practitioner
  • Columbia, SC
  • NPI 1356717276
  Medicare reassignment NPD
• Christina Nicole Matthews, APRN, FNP

  • Family Nurse Practitioner
  • Columbia, SC
  • NPI 1467984450
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1734652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734998400000",
    "number": "1144038274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 56",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294610056",
            "telephone_number": "843-900-7098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 NORTH HIGHWAY 52",
            "address_2": "UNIT 56",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294610056",
            "telephone_number": "843-900-7098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NU SOUTH PROVIDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-20",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-24",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALISTS",
        "authorized_official_telephone_number": "912-373-4385"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nu South Providers LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nu South Providers LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Frances Newton, PHARMD
• Paula M. Nguyen, RN
• Elizabeth A Nifong-Velazquez
• Nocd North Carolina PC
• Leanne M North
• Marissa Nicole Nunes-Bryant, BSN, RN
• Nurturing Wonders
• Noah Davis Nussbaum, PHARMD
• Ted Tristan Nussbaum, RPH
• Oasis Christian Counseling, Inc

• Family Medicine Physician in Moncks Corner, SC
• Providers in Moncks Corner, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.